利胆汤联合熊去氧胆酸片治疗妊娠期肝内胆汁淤积症临床观察
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Clinical Observation of Lidan Tang Combined with Ursodeoxycholic Acid Tablets for Intrahepatic Cholestasis During Pregnancy
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    摘要:

    目的:观察利胆汤联合熊去氧胆酸片治疗妊娠期肝内胆汁淤积症的临床疗效。方法:选取80例妊娠期肝内胆汁淤积症患者,随机分为对照组和治疗组各4 0例。对照组给予熊去氧胆酸片治疗,治疗组给予利胆汤联合熊去氧胆酸片治疗。对2组临床疗效、瘙痒评分、生化指标及妊娠结局进行比较。结果:治疗组总有效率9 2.5%,对照组总有效率7 5.0%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组瘙痒评分均较治疗前降低 (P<0.05),治疗组的瘙痒评分低于对照组(P<0.05)。治疗后,2组谷丙转氨酶(A L T)、谷草转氨酶(A S T)、总胆汁酸(T B A)、直接胆红素(D B il)、间接胆红素(IB il)及总胆红素(T B il)水平均较治疗前降低(P<0.05),治疗组6项生化指标均较对照组下降更明显(P<0.05)。2组羊水污染、围产儿死亡、新生儿窒息发生率比较,差异均无统计学意义(P>0.05);治疗组剖宫产率、早产率均低于对照组,差异均有统计学意义(P<0.05)。结论:在熊去氧胆酸片治疗妊娠期肝内胆汁淤积症基础上加用利胆汤可提高临床疗效,改善患者的瘙痒症状及生化指标,减少不良妊娠结局发生。

    Abstract:

    Objective:To observe the clinical effect of Lidan tang combined with ursodeoxycholic acid tablets for intrahepatic cholestasis during pregnancy.M e th o d s:Selected 80 cases of patients with intrahepatic cholestasis during pregnancy,and divided them into the control group and the treatment group randomly,40 cases in each group.The control group was given ursodeoxycholic acid tablets for treatment,while the treatment group was given Lidan tang combined with ursodeoxycholic acid tablets for treatment.Compared the clinical effect,pruritus score,biochemical index and pregnancy outcome int wogroups.Results:The total effective rate was 92.5%in the treatment group and was 75.0%in the control group,difference being significant(P < 0.05).After treatment,pruritus scores in two groups were both decreased when compared with those be fore treatment(P < 0.05),while the pruritus scores in the treatment group were lower than that in the control group(P < 0.05).After treatment,levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST),total bile a c id(T B A), direct bilirubin(DBil), indirect bilirubin(IBil)and total bilirubin(TBil)in two groups were all decreased when compared with those before treatment(P < 0.05),while the decrease of the previous 6 indexes in the treatment group was more obvious than that in the control group(P<0.05).There was no significant difference being found in the comparisons of th e incidence of polluted amniotic fluid,perinatal mortality and neonatal asphyxia in two groups(P>0.05).Cesarean section rate and premature birth rate in the treatment group were lower than those in the control group,differences being significant(P<0.05).Conclusion:The therapy of modified Lidan tang based on ursodeoxycholic acid tablets for intrahepatic cholestasis during pregnancy can improve clinical effect and pruritus symptoms and biochemical indexes of patients,and reduce adverse pregnancy outcomes.

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方凤梅,金继英,方晓红,肖辉琴.利胆汤联合熊去氧胆酸片治疗妊娠期肝内胆汁淤积症临床观察[J].新中医,2018,50(6):130-132

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  • 在线发布日期: 2018-06-05
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